Test Bank For OpenStax Clinical Nursing
Skills.
,Unit 1: Concepts of Comprehensive Clinical Care
● Chapter 1: The Role of the Nurse in Comprehensive Care
● Chapter 2: The Evolution of the Nurse's Role
● Chapter 3: Patient Communication and Interviewing
● Chapter 4: Obtaining a Complete Health History
● Chapter 5: Cultural Competence and Assessment
● Chapter 6: Infection Prevention Techniques and Safety in the Clinical Setting
Unit 2: General Assessment and Special Considerations
● Chapter 7: Hygiene
● Chapter 8: Wound and Burn Assessment and Care
● Chapter 9: Activity Assessment and Management
● Chapter 10: Specimen Collection and Lab Testing
Unit 3: Medication Management
● Chapter 11: Principles of Medication Administration
● Chapter 12: Medication Administration Procedures
● Chapter 13: Intravenous Administration
● Chapter 14: Miscellaneous Medication Administration
Unit 4: Health Assessment and Promotion
● Chapter 15: General Survey, Anthropometric Measurement, and Vital Signs
● Chapter 16: Pain Assessment
● Chapter 17: Nutrition Assessment
● Chapter 18: Oxygenation and Perfusion
● Chapter 19: Fluids, Electrolytes, and Elimination
● Chapter 20: Psychosocial Assessment
● Chapter 21: Assessment of the Integumentary System
● Chapter 22: Assessment of the Head and Neck
● Chapter 23: Assessment of the Thorax, Lungs, Breast, and Lymphatic
System
● Chapter 24: Assessment of the Cardiovascular and Peripheral Vascular
System
● Chapter 25: Assessment of the Musculoskeletal System
● Chapter 26: Assessment of the Neurological System
● Chapter 27: Assessment of the Abdomen
● Chapter 28: Clinical Judgment and Critical Thinking
,Chapter 1: The Role of the Nurse in Comprehensive Care
1. A nurse is conducting an admission assessment for a patient with heart failure.
Which action by the nurse best demonstrates the "Assessment" phase of the
nursing process within the context of comprehensive care?
A. Reviewing the provider’s orders for diuretic administration.
B. Gathering both subjective data regarding dyspnea and objective data regarding
lung sounds.
C. Determining if the patient’s edema has improved after four hours of bed rest.
D. Formulating a plan to educate the patient on a low-sodium diet.
Correct Answer: B
Rationale: Comprehensive care begins with a thorough assessment, which
requires the collection of both subjective data (what the patient feels) and
objective data (what the nurse observes/measures) to form a complete clinical
picture.
2. A nurse is caring for a patient from a different cultural background who refuses a
specific treatment due to religious beliefs. To provide patient-centered care as
defined by QSEN, which action should the nurse take first?
A. Inform the patient that the treatment is necessary for recovery.
B. Request a consult from the hospital’s ethics committee.
C. Explore the patient’s values and preferences regarding their care.
D. Ask a family member to help persuade the patient to accept the treatment.
Correct Answer: C
Rationale: Patient-centered care involves respecting and responding to individual
patient preferences, needs, and values. The nurse must first understand the
patient's perspective before proceeding with interventions or referrals.
3. During a shift change, the nurse uses the SBAR (Situation, Background,
Assessment, Recommendation) tool to hand over a patient to the next clinician.
This practice primarily addresses which QSEN competency?
A. Quality Improvement
, B. Informatics
C. Teamwork and Collaboration
D. Evidence-Based Practice
Correct Answer: C
Rationale: The SBAR tool is a standardized communication technique designed to
improve Teamwork and Collaboration by ensuring accurate and efficient
information exchange between healthcare team members.
4. A nurse is reviewing a new hospital policy regarding the use of barcode
medication administration (BCMA). The nurse understands that this technology is
primarily used to address which nursing responsibility?
A. Minimizing the time spent on documentation.
B. Reducing the incidence of medication errors to ensure patient safety.
C. Ensuring the patient receives the most cost-effective medication.
D. Tracking nursing productivity throughout the shift.
Correct Answer: B
Rationale: Technology and informatics in nursing, such as barcode scanning, are
utilized to mitigate human error and uphold the "Safety" competency by ensuring
the right patient receives the right medication.
5. Which of the following statements by a student nurse demonstrates a correct
understanding of "holistic nursing" within comprehensive care?
A. "I will focus primarily on the physiological symptoms to ensure the patient is
stabilized."
B. "Holistic care involves addressing the physical, emotional, social, and spiritual
needs of the patient."
C. "The nursing role is limited to performing clinical skills and procedures ordered
by the physician."
D. "Comprehensive care is achieved once the patient’s primary medical diagnosis
is resolved."
Skills.
,Unit 1: Concepts of Comprehensive Clinical Care
● Chapter 1: The Role of the Nurse in Comprehensive Care
● Chapter 2: The Evolution of the Nurse's Role
● Chapter 3: Patient Communication and Interviewing
● Chapter 4: Obtaining a Complete Health History
● Chapter 5: Cultural Competence and Assessment
● Chapter 6: Infection Prevention Techniques and Safety in the Clinical Setting
Unit 2: General Assessment and Special Considerations
● Chapter 7: Hygiene
● Chapter 8: Wound and Burn Assessment and Care
● Chapter 9: Activity Assessment and Management
● Chapter 10: Specimen Collection and Lab Testing
Unit 3: Medication Management
● Chapter 11: Principles of Medication Administration
● Chapter 12: Medication Administration Procedures
● Chapter 13: Intravenous Administration
● Chapter 14: Miscellaneous Medication Administration
Unit 4: Health Assessment and Promotion
● Chapter 15: General Survey, Anthropometric Measurement, and Vital Signs
● Chapter 16: Pain Assessment
● Chapter 17: Nutrition Assessment
● Chapter 18: Oxygenation and Perfusion
● Chapter 19: Fluids, Electrolytes, and Elimination
● Chapter 20: Psychosocial Assessment
● Chapter 21: Assessment of the Integumentary System
● Chapter 22: Assessment of the Head and Neck
● Chapter 23: Assessment of the Thorax, Lungs, Breast, and Lymphatic
System
● Chapter 24: Assessment of the Cardiovascular and Peripheral Vascular
System
● Chapter 25: Assessment of the Musculoskeletal System
● Chapter 26: Assessment of the Neurological System
● Chapter 27: Assessment of the Abdomen
● Chapter 28: Clinical Judgment and Critical Thinking
,Chapter 1: The Role of the Nurse in Comprehensive Care
1. A nurse is conducting an admission assessment for a patient with heart failure.
Which action by the nurse best demonstrates the "Assessment" phase of the
nursing process within the context of comprehensive care?
A. Reviewing the provider’s orders for diuretic administration.
B. Gathering both subjective data regarding dyspnea and objective data regarding
lung sounds.
C. Determining if the patient’s edema has improved after four hours of bed rest.
D. Formulating a plan to educate the patient on a low-sodium diet.
Correct Answer: B
Rationale: Comprehensive care begins with a thorough assessment, which
requires the collection of both subjective data (what the patient feels) and
objective data (what the nurse observes/measures) to form a complete clinical
picture.
2. A nurse is caring for a patient from a different cultural background who refuses a
specific treatment due to religious beliefs. To provide patient-centered care as
defined by QSEN, which action should the nurse take first?
A. Inform the patient that the treatment is necessary for recovery.
B. Request a consult from the hospital’s ethics committee.
C. Explore the patient’s values and preferences regarding their care.
D. Ask a family member to help persuade the patient to accept the treatment.
Correct Answer: C
Rationale: Patient-centered care involves respecting and responding to individual
patient preferences, needs, and values. The nurse must first understand the
patient's perspective before proceeding with interventions or referrals.
3. During a shift change, the nurse uses the SBAR (Situation, Background,
Assessment, Recommendation) tool to hand over a patient to the next clinician.
This practice primarily addresses which QSEN competency?
A. Quality Improvement
, B. Informatics
C. Teamwork and Collaboration
D. Evidence-Based Practice
Correct Answer: C
Rationale: The SBAR tool is a standardized communication technique designed to
improve Teamwork and Collaboration by ensuring accurate and efficient
information exchange between healthcare team members.
4. A nurse is reviewing a new hospital policy regarding the use of barcode
medication administration (BCMA). The nurse understands that this technology is
primarily used to address which nursing responsibility?
A. Minimizing the time spent on documentation.
B. Reducing the incidence of medication errors to ensure patient safety.
C. Ensuring the patient receives the most cost-effective medication.
D. Tracking nursing productivity throughout the shift.
Correct Answer: B
Rationale: Technology and informatics in nursing, such as barcode scanning, are
utilized to mitigate human error and uphold the "Safety" competency by ensuring
the right patient receives the right medication.
5. Which of the following statements by a student nurse demonstrates a correct
understanding of "holistic nursing" within comprehensive care?
A. "I will focus primarily on the physiological symptoms to ensure the patient is
stabilized."
B. "Holistic care involves addressing the physical, emotional, social, and spiritual
needs of the patient."
C. "The nursing role is limited to performing clinical skills and procedures ordered
by the physician."
D. "Comprehensive care is achieved once the patient’s primary medical diagnosis
is resolved."
